基于证据的指导方针,用于产后母体水分的评估和管理:一个范围审查
Lauren Kearney1,2, Alison Craswell3, Nellie Dick4
1School of Nursing, Midwifery and Social Work, University of Queensland, Brisbane, Queensland, Australia.
Birth (Berkeley, Calif.)
|October 7, 2023
概括
在分娩期间母亲的水分缺乏具体的基于证据的指导方针. 这次审查没有发现产后水分评估和管理的指导方针,突出了劳动人员最佳实践中的差距.
科学领域:
- 孕产妇健康 孕产妇健康
- 产科 产科 产科 产科 产科
- 基于证据的实践.
背景情况:
- 劳动和分娩需要足够的水分以取得进展.
- 目前关于产后水分的做法不一致,缺乏共识.
- 管理通常涉及监测不良的静脉注射和口服液体.
研究的目的:
- 进行范围审查,以确定基于证据的指导方针,以评估和管理产妇宫内水分.
- 整理现有的指导方针,以告知产妇在分娩和分娩期间获得水分的最佳做法.
主要方法:
- 搜索了PubMed,Embase和CINAHL数据库,以及专业大学网站.
- 包括在过去10年内出版的英语分娩内临床指南.
- 当没有发现特定的水化指南时,对一般的产后护理指南进行了后续审查.
主要成果:
- 没有特定的基于证据的指导方针来评估和管理产妇宫内水分.
- 对一般产后指导方针的审查发现,有七项指导方针涉及孕产妇的水分.
- 只有三个指导方针建议允许自发分娩的低风险女性确定自己的口服摄入量.
结论:
- 对于评估和管理孕产妇产卵内水分的指导方针显著缺乏.
- 仅有有限的证据指导最佳实践,导致潜在的临床变异.
- 需要进一步的研究,以建立基于证据的指导方针,以安全有效的产妇内水化.
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